2016, Number 1
<< Back Next >>
Rev Mex Anest 2016; 39 (1)
Keys for management of the airway in pregnant patients
Ramírez-Paesano C, Rivera-Valencia R, Tovar-Correa L
Language: Spanish
References: 47
Page: 64-70
PDF size: 198.42 Kb.
ABSTRACT
Airway management in pregnant is still a challenge for anesthesiologist, especially with preeclamptic and obese patients. Although tracheal intubation is the gold standard, when exist difficulties, oxygenation/ventilation of the mother is the priority. Consideration of early use of supraglotic devices and videolaryngoscopy is very helpful. The airway management and obstetric approach, finally, will depend on fetus/mother wellness. Nowadays, the airway evaluation during labor or before C-section, getting adequate equipment and airway devices in labor room providing permanent training to the team in charge of the pregnant are the kit for success and reduce complications.
REFERENCES
Asai T. Rapid-sequence induction of anesthesia in obstetric women: how safe it is? J Anesth. 2012;26:321-323.
McDonnell NJ, Paech MJ, Clavisi OM et al. Difficult and failed intubation in obstetric anesthesia: an observational study of airway management and complication associated with general anesthesia for cesarean section. Int J Obstet Anesth. 2008;17:292-297.
Tao W, Edwards JT, Tu F, et al. Incidence of unanticipated difficult airway in obstetric patients in a teaching institution. J Anesth. 2012;26:339-345.
Quinn AC, Milne D, Columb M, et al. Failed tracheal intubation in obstetric anesthesia: 2 yr national cased-control study in UK. Br J Anaesth. 2013;110:74-80.
Rocke DA, Murray WB, Rout CC, et al. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology. 1992;77:67-73.
Hawkins JL, Chang J, Palmer SK, et al. Anesthesia-related maternal mortality in The United State: 1979-2002. Obstet Gynecol. 2011;117:69-74.
Chadwick HS, Posner K, Caplan RA, et al. A comparison of obstetric and non-obstetric anesthesia malpractice claims. Anesthesiology. 1991;74:242-249.
Munnur U, de Boisblanc B, Suresh MS. Airways problems in pregnancy. Crit Care Med. 2005;33:S259-S268.
Palanisamy A, Mitani AA, Tsen LC. General anesthesia for cesarean delivery a tertiare care hospital from 2000 to 2005: a restrospective analysis an 10-years up date. Int J Obstet Anesth. 2011;20:10-16.
Wong CA. Saving mothers’ lives. The 2006-8 anaesthesia perspective. Br J Anaesth. 2011;107:119-122.
Morgan BM, Magni V, Goroszenuik T. Anaesthesia for emergency cesarean section. Br J Obstet Gynaecol. 1990;97:420-424.
Baker PA, Flanagan BT, Greenland KB, et al. Equipment to manage a difficult airway during anesthesia. Anaesth Intensive Care. 2011;39:16-34.
Siassakos D, Crofts JF, winter C, et al. The active components of effective training in obstetric emergencies. BJOG. 2009;116:1028-1032.
Nielsen PE, Goldman MB, Mann S, et al. Effects of team training on adverse outcome and process of care in labor and delivery: a randomized controlled trial. Obstet Gynecol. 2007;109:48-55.
Fisher N, Eisen LA, Bayya JV, et al. Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training. Am J Obstet Gynecol. 2011;205:239.e1.-239.e5.
Lipman SS, Carvalho B, Cohen SE, et al. Response times for emergency cesarean delivery: use of simulation drills to asses and improve obstetric team performance. J Perinatol. 2013;33:259-263.
Brimacombe J. Acute pharyngolaryngeal oedema and pre-eclamptic toxaemia. Anaesth Intensive Care. 1992;20:97-98.
Plunkett AR, McLean BC, Brooks D, et al. Does difficult mask ventilation predict obstructive sleep apnea? J Clin Sleep Med. 2011;7:473-477.
El-Orbany M, Woehlck HJ. Difficult mask ventilation. Anesth Analg. 2009;109:1870-1880.
Pilkington S, Carli F, Dakin MJ, et al. Increase in Mallampati score during pregnancy. Br J Anaesth. 1995;74:638-642.
Kodali BS, Chandrasekhar S, Bulish LN, et al. Airway changes during labor and delivery. Anesthesiology. 2008;108:357-362.
Boutonnet M, Faitot V, Katz A, et al. Mallampati class changes during pregnancy, labor, and after delivery: can these be predicted? Br J Aneaesth. 2010;104:67-70.
Vanner RG. Mechanisms of regurgitation and its prevention with cricoid pressure. Int J Obstet Anesth. 1993;2:207-215.
McClelland SH, Bogod DG, Hardman JG. Pre-oxygenation and apnoea in pregnancy. An investigation using a physiological modeling. Anaesthesia. 2008;63:264-269.
McKeen DM, George RB, O’Connell CM, et al. Difficult and failed intubation: incidence rates of maternal, obstetrical, and anesthetic predictors. Can J Anesth. 2011;58:514-524.
Apfelbaum JL, Hagberg GA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an Update of American Society of Anesthesiologist Task Force on Management of Difficult Airway. Anesthesiology. 2013;118:251-270.
Ketherpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology. 2006;105:885-889.
Langeron O, Masso E, Huraux C et al. Prediction of difficult mask ventilation. Anesthesiology. 2000;92:1229-1236.
Izci B, Riha RL, Martin SE, et al. The upper airway in pregnancy and pre-eclampsia. Am J Respir Crit Care Med. 2003;167:137-140.
Basaranoglu G, Columb M, Lyons G. Failure to predict difficult tracheal intubation for emergency cesarean section. Eur J Anaesthesiol. 2010;27:947-949.
Levitan RM, Mechem CC, Ochroch EA, et al. Head-elevated laryngoscopy position: improving laryngeal exposure during laryngoscopy by increasing head elevation. Ann Emerg Med. 2003;41:322-330.
Cattano D, Melnikov V, Khalil Y, et al. An evaluation of the rapid airway management positioner in obese patients undergoing gastric bypass or laparoscopy gastric banding surgery. Obes Surg. 2010;20:1436-1441.
Porter R, Wrench IJ, Freeman R. Preoxygenation for general anesthesia in pregnancy: is it adequate? Int J Obstet Anesth. 2011;20:363-365.
Degler SM, Dowling RD, Sucherman DR, Leighton BL. Awake intubation using an intubating laryngeal mask airway in a parturient with spina bifida. Int J Obstet Anesth. 2005;14:77-78.
Shung J, Avidan MS, Ing R, Klein DC, Pott L. Awake intubation of the difficult airway with the intubating laryngeal mask airway. Anaesthesia. 1998;53:645-649.
Kariya N, Kimura K, Iwasaki R, Ueki R, Tatara T. Intraoperative awake tracheal intubation using the Airway Scope™ in cesarean section. Anaesth Intensive Care. 2013;41:390-392.
Ni J, Luo L, Wu L, Luo D. The Airtraq ™ laryngoscope as a first choice for parturients with an expected difficult airway. Int J Obstet Anesth. 2014;23:94-95.
Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management. Can J Anesth. 2013;60:1089-1118.
Aziz MF, Kim D, Mako J, et al. A retrospective study of the performance of videolaryngoscopy in an obstetric unit. Anesthesiology. 2011;114:34-41.
Griesdale DE, Liu D, McKinney J, et al. Glidescope (R)- videolaryngoscopy versus direct laryngoscopy for endotracheal intubation. A systematic review and meta-analysis. Can J Anesth. 2012;59:41-52.
Han TH, Brimacombe J, Lee EJ, Yang HS. The laryngeal mask airway is effective (and probably safe) in selected healthy parturients for elective cesarean section: a prospective study of 1067 cases. Can J Anaesth. 2001;48:1117-1121.
Halaseh BK, Sukkar ZF, Hassan LH, et al. The use of proseal laryngeal mask airway in cesarean section-experience in 3000 cases. Anaesth Intensive Care. 2010;38:1023-1028.
Yao WY, Li SY, Sng BL, et al. The LMA Supreme in 700 parturients undergoing cesarean delivery. An observational study. Can J Anesth. 2012;59:648-654.
Wong DT, Yang JJ, Mak HY, et al. Use of introducers through a supraglottic airway to facilitate tracheal intubation: a brief review. Can J Anesth. 2012;59:704-715.
Bullough AS, Carraretto M. A United Kingdom national obstetric intubation equipment survey. Int J Obstet Anesth. 2009;18:342-345.
Afolabi BB, Lesi FE, Merah NA. Regional versus general anaesthesia for caesarean section. Cochrane Database Syst Rev. 2006;CD004350.
Ramírez-Paesano C, Hachoue Z. Anestesia neuroaxial guiada por ultrasonografía en las embarazadas. Rev Mex Anestesiol. 2012;35:245-254.